Looking to lower the out-of-pocket
cost of your prescription
for JANUVIA?

Get the coupon for JANUVIA.

Eligible, privately insured patients may pay as little as $5 per prescription. Maximum savings is $150 per prescription.* The coupon may be redeemed once every 30 days.

*Not all patients are eligible. Terms and Conditions apply.

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Let’s get started by checking if you are eligible for the coupon for JANUVIA.

Did you lose the coupon you already activated? Replace it here. Did you recently receive a coupon from your doctor? Find out more here. 

Please enter the following information exactly as it appears on the insurance card. The information you enter is captured by McKesson, a third-party service provider of the program, on behalf of Merck to determine eligibility. The information you share will not be accessible by Merck.

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* Required field

Please enter a valid First name

Please enter a valid Last name

Please enter a valid five-digit zip code

Are you the parent or guardian of the patient?

Note: The coupon can only be used if you activate it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

Get the coupon for JANUVIA.

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Do you have health insurance?

Do you have state-, federal-, or government-funded insurance, such as Medicaid, Medicare, TRICARE, or Puerto Rico Government Health Insurance Plan?

See more types of plans here

Enter your prescription insurance information:

Not sure what this means?

Please enter a valid RxBIN with 6 numbers.

Please enter a valid RxGrp number.

Please enter a valid RxPCN number.

Need help? Call 877-264-2454

We’re sorry, but patients enrolled in state-, federal-, or government-funded health insurance are not eligible for a coupon.

Need help? Call 877-264-2454

We’re sorry, but you must have private health insurance in order to be eligible for a coupon.

Need help? Call 877-264-2454

Get the coupon for JANUVIA.

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Please review the Terms and Conditions..

To continue, please scroll to read through all Terms and Conditions.

TERMS AND CONDITIONS
  • The coupon is valid for up to $150 off your out-of-pocket cost on each qualifying prescription for JANUVIA (sitagliptin), up to a 90-day supply per prescription fill. Patient is responsible for the first $5 of their out-of-pocket cost.
  • The coupon is valid for use once every 30 days with a qualifying prescription before the expiration date printed on the coupon. Patient must have a co-payment (or, if privately insured without coverage for JANUVIA, make full cash payment) for the prescription. Savings are limited to amount of your out-of-pocket cost over $5, up to a maximum of $150 per qualifying prescription.
  • The coupon may be redeemed only once every 30 days.
  • No other purchase is necessary.
  • The coupon is not transferable. No substitutions are permitted. The offer cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer.
  • The coupon is not insurance.
  • Patient must have private insurance. Not valid for uninsured patients or patients covered under Medicaid (including Medicaid patients enrolled in a qualified health plan purchased through a health insurance exchange [marketplace] established by a state government or the federal government), Medicare, a Medicare Part D or Medicare Advantage plan (regardless of whether a specific prescription is covered), TRICARE, CHAMPUS, Puerto Rico Government Health Insurance Plan (“Healthcare Reform”), or any other state or federal medical or pharmaceutical benefit program or pharmaceutical assistance program (collectively, “Government Programs”).
  • Subject to changes in state law, the coupon may become invalid for residents of Massachusetts prior to its expiration date.
  • You must be 18 years of age or older to redeem the coupon. Patient, pharmacist, and prescriber agree not to seek reimbursement for all or any part of the benefit received by the patient through the offer. Patient is responsible for reporting receipt of coupon benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the coupon, as may be required.
  • The coupon can be used only by eligible residents of the United States or the Commonwealth of Puerto Rico at participating eligible retail or mail-order pharmacies in the United States or the Commonwealth of Puerto Rico. Product must originate in the United States or the Commonwealth of Puerto Rico.
  • The coupon is the property of Merck and must be turned in on request.
  • It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit the coupon. Void if reproduced. Void where prohibited by law, taxed, or restricted.
  • Merck reserves the right to rescind, revoke, or amend the offer at any time without notice.
  • Data related to your redemption of the coupon may be collected, analyzed, and shared with Merck, for market research and other purposes related to assessing coupon programs. Data shared with Merck will be aggregated and de-identified, meaning it will be combined with data related to other coupon redemptions and will not identify you.
  • Expiration Date: 12/31/2024

Click “Accept” to confirm you agree to the Terms and Conditions. By accepting, you understand you will no longer be eligible to use the coupon if you become uninsured, begin to have Government Program insurance (as defined above), or your insurance company or state stops allowing patients to use the coupon. You confirm that your insurance company has not prohibited the use of coupons.

Need help? Call 877-264-2454

Get the coupon for JANUVIA.

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You are eligible for the coupon for JANUVIA!

How would you like to receive your coupon?

Select all that apply.

You can unsubscribe within the email or call 877-264-2454 at any time.

Please enter a valid email address

At any time, you can opt-out of the text messaging program by texting STOP to 52702*

Please enter a valid number

Unless you change your selection sooner, your authorization will expire upon the expiration or termination of the coupon. By entering your information above and clicking Submit: 1) You are agreeing to receive communications, including by autodialer if applicable, regarding coupon reminders, which may also include related patient support, from the administrator(s) of this program on behalf of Merck; 2) You are agreeing to have the information you have provided as well as information obtained about the use of your coupon shared with the administrator(s) of this program on behalf of Merck.

*Message and data rates may apply. Message frequency varies. Text HELP for information. See Terms and Conditions.

To access the McKesson privacy policy, please click here.

Need help? Call 877-264-2454

Thank you!

We’ve texted your coupon to [XXX-XXX-XXXX].

To use this coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup.

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

Thank you!

We’ve emailed your coupon to [username@domain.com].

To use this coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup.

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

Thank you!

We’ve texted your coupon to [XXX-XXX-XXXX] and we’ve emailed your coupon to [username@domain.com].

To use this coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup.

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

Thank you!

To use this coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup.

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

We are unable to continue the activation process based on the information entered.

Need help? Call 877-264-2454

Get the coupon for JANUVIA.

Eligible, privately insured patients may pay as little as $5 per prescription. Maximum savings is $150 per prescription.* The coupon may be redeemed once every 30 days.

*Not all patients are eligible. Terms and Conditions apply.

It looks like you’ve already activated a coupon for JANUVIA. Do you need to replace a lost coupon that has already been activated?

Need help? Call 877-264-2454

Did you misplace your coupon for JANUVIA?

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Step 1

Please enter your information to receive a copy of your coupon.

Please enter the following information exactly as it appears on the insurance card. The information you enter is captured by McKesson, a third-party service provider of the program, on behalf of Merck to determine eligibility. The information you share will not be accessible by Merck.

Privacy Notice | McKesson

Please enter a valid First name

Please enter a valid Last name

AND

Please enter a valid five-digit zip code

OR

 

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

Did you misplace your coupon for JANUVIA?

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We found your information in our records. How would you like to receive your replacement coupon?

Select all that apply.

You can unsubscribe within the email or call 877-264-2454 at any time.

Please enter a valid email address

At any time, you can opt-out of the text messaging program by texting STOP to 52702*

Please enter a valid number

Unless you change your selection sooner, your authorization will expire upon the expiration or termination of the coupon. By entering your information above and clicking Submit: 1) You are agreeing to receive communications, including by autodialer if applicable, regarding coupon reminders, which may also include related patient support, from the administrator(s) of this program on behalf of Merck; 2) You are agreeing to have the information you have provided as well as information obtained about the use of your coupon shared with the administrator(s) of this program on behalf of Merck.

*Message and data rates may apply. Message frequency varies. Text HELP for information. See Terms and Conditions.

To access the McKesson privacy policy, please click here.

Need help? Call 877-264-2454

Thank you for replacing your coupon for JANUVIA!

We’ve texted your coupon to [XXX-XXX-XXXX].

To use the coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup.

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

Thank you for replacing your coupon for JANUVIA!

We’ve emailed your coupon to [username@domain.com].

To use the coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup.

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

Thank you for replacing your coupon for JANUVIA!

We’ve texted your coupon to [XXX-XXX-XXXX] and we’ve emailed your coupon to [username@domain.com].

To use the coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup.

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

Thank you for replacing your coupon for JANUVIA!

To use the coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup.

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

We are unable to continue the activation process based on the information entered.

Need help? Call 877-264-2454

We’re sorry, but we did not find an existing coupon belonging to a patient with that name, date of birth, and zip code or coupon identification number.

Entered the wrong information? Try again

Need help? Call 877-264-2454

Activate your coupon for JANUVIA.

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Let’s get started by checking if you are eligible for the coupon for JANUVIA.

What’s your coupon ID number?

What’s this?

Please enter the following information exactly as it appears on the insurance card. The information you enter is captured by McKesson, a third-party service provider of the program, on behalf of Merck to determine eligibility. The information you share will not be accessible by Merck.

Privacy Notice | McKesson

* Required field

Please enter a valid Last name

Please enter a valid Last name

Please enter a valid five-digit zip code

Are you the parent or guardian of the patient?

Note: The coupon can only be used if you activate it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

Activate your coupon for JANUVIA.

  • Step 1
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Step 2

Step 1: Current Step

Do you have health insurance?

Do you have state-, federal-, or government-funded insurance, such as Medicaid, Medicare, TRICARE, or Puerto Rico Government Health Insurance Plan?

See more types of plans here

Enter your prescription insurance information:

Not sure what this means?

Please enter a valid RxBIN with 6 numbers.

Please enter a valid RxGrp number.

Please enter a valid RxPCN number.

Need help? Call 877-264-2454

We’re sorry, but patients enrolled in state-, federal-, or government-funded health insurance are not eligible for a coupon.

Need help? Call 877-264-2454

We’re sorry, but you must have private health insurance in order to be eligible for a coupon.

Need help? Call 877-264-2454

Activate your coupon for JANUVIA.

  • Step 1
  • Step 2
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Step 3

Step 2: Current Step

Please review the Terms and Conditions..

To continue, please scroll to read through all Terms and Conditions.

TERMS AND CONDITIONS
  • The coupon is valid for up to $150 off your out-of-pocket cost on each qualifying prescription for JANUVIA (sitagliptin), up to a 90-day supply per prescription fill. Patient is responsible for the first $5 of their out-of-pocket cost.
  • The coupon is valid for use once every 30 days with a qualifying prescription before the expiration date printed on the coupon. Patient must have a co-payment (or, if privately insured without coverage for JANUVIA, make full cash payment) for the prescription. Savings are limited to amount of your out-of-pocket cost over $5, up to a maximum of $150 per qualifying prescription.
  • The coupon may be redeemed only once every 30 days.
  • No other purchase is necessary.
  • The coupon is not transferable. No substitutions are permitted. The offer cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer.
  • The coupon is not insurance.
  • Patient must have private insurance. Not valid for uninsured patients or patients covered under Medicaid (including Medicaid patients enrolled in a qualified health plan purchased through a health insurance exchange [marketplace] established by a state government or the federal government), Medicare, a Medicare Part D or Medicare Advantage plan (regardless of whether a specific prescription is covered), TRICARE, CHAMPUS, Puerto Rico Government Health Insurance Plan (“Healthcare Reform”), or any other state or federal medical or pharmaceutical benefit program or pharmaceutical assistance program (collectively, “Government Programs”).
  • Subject to changes in state law, the coupon may become invalid for residents of Massachusetts prior to its expiration date.
  • You must be 18 years of age or older to redeem the coupon. Patient, pharmacist, and prescriber agree not to seek reimbursement for all or any part of the benefit received by the patient through the offer. Patient is responsible for reporting receipt of coupon benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the coupon, as may be required.
  • The coupon can be used only by eligible residents of the United States or the Commonwealth of Puerto Rico at participating eligible retail or mail-order pharmacies in the United States or the Commonwealth of Puerto Rico. Product must originate in the United States or the Commonwealth of Puerto Rico.
  • The coupon is the property of Merck and must be turned in on request.
  • It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit the coupon. Void if reproduced. Void where prohibited by law, taxed, or restricted.
  • Merck reserves the right to rescind, revoke, or amend the offer at any time without notice.
  • Data related to your redemption of the coupon may be collected, analyzed, and shared with Merck, for market research and other purposes related to assessing coupon programs. Data shared with Merck will be aggregated and de-identified, meaning it will be combined with data related to other coupon redemptions and will not identify you.
  • Expiration Date: 12/31/2024

Click “Accept” to confirm you agree to the Terms and Conditions. By accepting, you understand you will no longer be eligible to use the coupon if you become uninsured, begin to have Government Program insurance (as defined above), or your insurance company or state stops allowing patients to use the coupon. You confirm that your insurance company has not prohibited the use of coupons.

Need help? Call 877-264-2454

Activate your coupon for JANUVIA.

  • Step 1
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  • Step 4

Step 4

Step 3: Current Step

Your coupon has been activated. You can take it to the pharmacy, including the Pharmacist Instructions and Terms and Conditions, with your valid prescription.

You also have the option to text or email a copy of the coupon.

Select all that apply.

You can unsubscribe within the email or call 877-264-2454 at any time.

Please enter a valid email address

At any time, you can opt-out of the text messaging program by texting STOP to 52702*

Please enter a valid Number

Unless you change your selection sooner, your authorization will expire upon the expiration or termination of the coupon. By entering your information above and clicking Submit: 1) You are agreeing to receive communications, including by autodialer if applicable, regarding coupon reminders, which may also include related patient support, from the administrator(s) of this program on behalf of Merck; 2) You are agreeing to have the information you have provided as well as information obtained about the use of your coupon shared with the administrator(s) of this program on behalf of Merck.

*Message and data rates may apply. Message frequency varies. Text HELP for information. See Terms and Conditions.

To access the McKesson privacy policy, please click here.

Need help? Call 877-264-2454

Thank you!

We’ve texted your coupon to [XXX-XXX-XXXX].

To use this coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup.

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

Thank you!

We’ve emailed your coupon to [username@domain.com].

To use this coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup.

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

Thank you!

We’ve texted your coupon to [XXX-XXX-XXXX] and we’ve emailed your coupon to [username@domain.com].

To use this coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup.

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

Thank you!

To use this coupon, please show it, including the Pharmacist Instructions and Terms and Conditions, to the pharmacist with your valid prescription at pickup.

Note: The coupon can only be used if you activated it prior to filling your prescription. It cannot be used with a previous prescription purchase.

Need help? Call 877-264-2454

We are unable to continue the activation process based on the information entered……….

Need help? Call 877-264-2454

We’re sorry, but you must be 18 years or older to get a coupon.

Need help? Call 877-264-2454

We’re sorry, but you must be 18 years or older to get a coupon.

Need help? Call 877-264-2454

What is JANUVIA?

JANUVIA (jah-NEW-vee-ah) is a once-daily prescription pill that, along with diet and exercise, helps lower blood sugar levels in adults with type 2 diabetes.

JANUVIA should not be used in patients with type 1 diabetes. If you have had pancreatitis (inflammation of the pancreas), it is not known if you have a higher chance of getting it while taking JANUVIA.

Selected Risk Information About JANUVIA

Before you take JANUVIA, tell your doctor about all of your medical conditions. JANUVIA can cause serious side effects, including pancreatitis, which may be severe and lead to death. Before you start taking JANUVIA, tell your doctor if you’ve ever had pancreatitis. Stop taking JANUVIA and call your doctor right away if you have pain in your stomach area (abdomen) that is severe and will not go away. The pain may be felt going from your abdomen through to your back. The pain may happen with or without vomiting. These may be symptoms of pancreatitis.

Before you start taking JANUVIA, tell your doctor if you have ever had heart failure (your heart does not pump blood well enough) or have problems with your kidneys. Contact your doctor right away if you have increasing shortness of breath or trouble breathing (especially when you lie down); swelling or fluid retention (especially in the feet, ankles, or legs); an unusually fast increase in weight; or unusual tiredness. These may be symptoms of heart failure.

Kidney problems, sometimes requiring dialysis, have been reported.

Do not take JANUVIA if you are allergic to any of its ingredients, including sitagliptin. Symptoms of serious allergic reactions to JANUVIA, including rash, hives, and swelling of the face, lips, tongue, and throat that may cause difficulty breathing or swallowing, can occur. If you have any symptoms of a serious allergic reaction, stop taking JANUVIA and call your doctor right away or get emergency medical help.

Some people who take medicines called DPP-4 inhibitors like JANUVIA, may develop joint pain that can be severe. Call your doctor if you have severe joint pain.

Some people who take medicines called DPP-4 inhibitors like JANUVIA may develop a skin reaction called bullous pemphigoid that can require treatment in a hospital. Tell your doctor right away if you develop blisters or the breakdown of the outer layer of your skin (erosion). Your doctor may tell you to stop taking JANUVIA.

If you take JANUVIA with another medicine that can cause low blood sugar (hypoglycemia), such as a sulfonylurea or insulin, your risk of getting low blood sugar is higher. The dose of your sulfonylurea medicine or insulin may need to be lowered while you use JANUVIA. Signs and symptoms of low blood sugar may include headache, drowsiness, irritability, hunger, dizziness, confusion, sweating, feeling jittery, weakness, and fast heart beat.

Your doctor will do blood tests to check how well your kidneys are working before and during your treatment with JANUVIA. The most common side effects of JANUVIA are upper respiratory tract infection, stuffy or runny nose and sore throat, and headache.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please read the accompanying Medication Guide for JANUVIA® (sitagliptin) tablets and discuss it with your doctor. The physician Prescribing Information also is available.

Having trouble paying for your Merck medicine? Merck may be able to help. Visit merckhelps.com.

What is JANUVIA® (sitagliptin)?

JANUVIA (jah-NEW-vee-ah) is a once-daily prescription pill that, along with diet and exercise, helps lower blood sugar levels in adults with type 2 diabetes.

JANUVIA should not be used in patients with type 1 diabetes. If you have had pancreatitis (inflammation of the pancreas), it is not known if you have a higher chance of getting it while taking JANUVIA.

JANUVIA (jah-NEW-vee-ah) is a once-daily prescription pill that,

JANUVIA (jah-NEW-vee-ah) is a once-daily prescription pill that, along with diet and exercise, helps lower blood sugar levels in adults with type 2 diabetes.

JANUVIA should not be used in patients with type 1 diabetes.

Selected Risk Information About JANUVIA® (sitagliptin)

Before you take JANUVIA, tell your doctor about all of your medical conditions. JANUVIA can cause serious side effects, including pancreatitis, which may be severe and lead to death. Before you start taking JANUVIA, tell your doctor if you’ve ever had pancreatitis. Stop taking JANUVIA and call your doctor right away if you have pain in your stomach area (abdomen) that is severe and will not go away. The pain may be felt going from your abdomen through to your back. The pain may happen with or without vomiting. These may be symptoms of pancreatitis.

Before you start taking JANUVIA, tell your doctor if you have ever had heart failure (your heart does not pump blood well enough) or have problems with your kidneys. Contact your doctor right away if you have increasing shortness of breath or trouble breathing (especially when you lie down); swelling or fluid retention (especially in the feet, ankles, or legs); an unusually fast increase in weight; or unusual tiredness. These may be symptoms of heart failure.

Kidney problems, sometimes requiring dialysis, have been reported.

Do not take JANUVIA if you are allergic to any of its ingredients, including sitagliptin. Symptoms of serious allergic reactions to JANUVIA, including rash, hives, and swelling of the face, lips, tongue, and throat that may cause difficulty breathing or swallowing, can occur. If you have any symptoms of a serious allergic reaction, stop taking JANUVIA and call your doctor right away or get emergency medical help.

Some people who take medicines called DPP-4 inhibitors like JANUVIA, may develop joint pain that can be severe. Call your doctor if you have severe joint pain.

Some people who take medicines called DPP-4 inhibitors like JANUVIA may develop a skin reaction called bullous pemphigoid that can require treatment in a hospital. Tell your doctor right away if you develop blisters or the breakdown of the outer layer of your skin (erosion). Your doctor may tell you to stop taking JANUVIA.

If you take JANUVIA with another medicine that can cause low blood sugar (hypoglycemia), such as a sulfonylurea or insulin, your risk of getting low blood sugar is higher. The dose of your sulfonylurea medicine or insulin may need to be lowered while you use JANUVIA. Signs and symptoms of low blood sugar may include headache, drowsiness, irritability, hunger, dizziness, confusion, sweating, feeling jittery, weakness, and fast heart beat.

Your doctor will do blood tests to check how well your kidneys are working before and during your treatment with JANUVIA. The most common side effects of JANUVIA are upper respiratory tract infection, stuffy or runny nose and sore throat, and headache.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please read the accompanying Medication Guide for JANUVIA® (sitagliptin) tablets and discuss it with your doctor. The physician Prescribing Information also is available.

Having trouble paying for your Merck medicine? Merck may be able to help. Visit merckhelps.com.

Before you take JANUVIA, tell your doctor about all of your medical conditions. JANUVIA can cause serious side effects, including pancreatitis,

Before you take JANUVIA, tell your doctor about all of your medical conditions. JANUVIA can cause serious side effects, including pancreatitis, which may be severe and lead to death. Before you start taking JANUVIA, tell your doctor if you’ve ever had pancreatitis. Stop taking JANUVIA and call your doctor right away if you have pain in your stomach area (abdomen) that is severe and will not go away. The pain may be felt going from your abdomen through to your back. The pain may happen with or without vomiting. These may be symptoms of pancreatitis.